East Texas Medical Center Healthcare Associates is a
Family Medicine based in Tyler, Texas. East Texas Medical Center Healthcare Associates is licensed to practice in * (Not Available) (license number ) and their current practice location is
904 S Beckham Ave, Tyler, Texas. It can be reached at their office (for appointments etc.) via phone at
(903) 596-3555.
NPI number for East Texas Medical Center Healthcare Associates is 1629252937 and their current mailing address is Po Box 9477, Tyler, Texas. East Texas Medical Center Healthcare Associates
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1629252937.
Healthcare Provider's Profile
| Full Name | East Texas Medical Center Healthcare Associates |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 904 S Beckham Ave, Tyler, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629252937
- Provider Enumeration Date: 12/21/2007
- Last Update Date: 12/21/2007
Medical Identifiers
Medical identifiers for East Texas Medical Center Healthcare Associates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629252937 | NPI | - | NPPES |
| 00T07K | Other | TX | BLUE CROSS |
| CD9882 | Other | TX | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. East Texas Medical Center Healthcare Associates is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Texas Medical Center Healthcare Associates
Po Box 9477,
Tyler, TX 75711-9477
Ph: (903) 594-2450 | East Texas Medical Center Healthcare Associates
904 S Beckham Ave,
Tyler, TX 75701-1906
Ph: (903) 596-3555 |
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